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jeudi 25 juin 2020

ETUDE RECHERCHE Facteurs contribuant à l'hétérogénéité dans le moment de l'apparition d'un comportement suicidaire non mortel : Résultats d'une étude représentative au niveau national

Contributing Factors to Heterogeneity in the Timing of the Onset of Nonfatal Suicidal Behavior: Results From a Nationally Representative Study
Nicolas Hoertel 1, 2, 3 Julien Sabatier 3 Carlos Blanco 4 Mark Olfson 5 Jean-Pierre Schuster 6 Guillaume Airagnes 7, 3, 8 Hugo Peyre 9, 10 Frédéric Limosin 2, 3
1 Hôpital Corentin Celton [Issy-les-Moulineaux]
2 IPNP - U1266 Inserm - Paris Descartes - Institut de psychiatrie et neurosciences de Paris
3 Centre APHP - Université de Paris - Service Universitaire de Psychiatrie de l'Adulte et du sujet âgé
4 NIDA - Division of Epidemiology, Services and Prevention Research [Bethesda, MA, USA]
5 New York State Psychiatric Institute
6 UNIL - Université de Lausanne
7 CONSTANCES - Cohortes épidémiologiques en population
8 VIMA - Vieillissement et Maladies chroniques : approches épidémiologique et de santé publique
9 LSCP - Laboratoire de sciences cognitives et psycholinguistique
10 Psychiatrie de l'enfant et de l'adolescent [Robert-Debré]
Abstract : BACKGROUND: It remains unclear whether specific clinical factors contribute to heterogeneity in the timing of the onset of nonfatal suicidal behavior. This knowledge could have important implications for suicide prevention. METHODS: Using a nationally representative US adult sample, the second wave of the National Epidemiologic Survey on Alcohol and Related Conditions (2004-2005; n = 34,629), we compared the characteristics of 4 different suicide attempter groups: those who first attempted (1) before 18 years, (2) from 18 to 34 years, (3) from 35 to 49 years, and (4) at 50 years or older. Specifically, DSM-IV psychiatric disorders that occurred before the first suicide attempt, childhood maltreatment experiences, parental history of psychiatric disorders, and sociodemographic characteristics were examined. RESULTS: Most first nonfatal suicide attempts (85.3%) occurred before age 35 years. Compared with suicide attempts occurring from 18 to 34 years, suicide attempts occurring before 18 years were more strongly associated with childhood maltreatment and less strongly linked to lifetime prior psychiatric disorders, whereas first suicide attempts occurring at 35 years and older were more strongly associated with a prior lifetime history of substance use disorders, including alcohol use disorder and nicotine dependence, and mood disorders, including mania/hypomania and dysthymic disorder between 35 and 49 years and major depressive episode at 50 years and older (all P < .05). CONCLUSIONS: These results suggest age differences in risk factors for first nonfatal suicide attempt. Improving early detection and treatment of psychiatric disorders and preventing childhood maltreatment may have broad benefits to reduce the burden of suicidal behavior at all ages.
Type de document :Article dans une revue
Domaine :  Sciences du Vivant [q-bio]  Sciences du Vivant [q-bio] / Médecine humaine et pathologie
Sciences du Vivant [q-bio] / Médecine humaine et pathologie / Psychiatrie et santé mentale
Soumis le : mercredi 13 mai 2020 - 12:58:50

Fichier
Accès restreint Fichier visible le : 2020-10-07
HAL Id : inserm-02572010, version 1
DOI : 10.4088/JCP.19m13017
PUBMED : 32271505 

Collections EHESS | UVSQ | ENS-PARIS | LSCP | PSL | CNRS | UP-SANTE | UNIV-PARIS-SACLAY

Citation
Nicolas Hoertel, Julien Sabatier, Carlos Blanco, Mark Olfson, Jean-Pierre Schuster, et al.. Contributing Factors to Heterogeneity in the Timing of the Onset of Nonfatal Suicidal Behavior: Results From a Nationally Representative Study. Journal of Clinical Psychiatry, Physicians Postgraduate Press, 2020, 81 (3), pp.19m13017. ⟨10.4088/JCP.19m13017⟩. ⟨inserm-02572010⟩